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NPI 1457217762

NPI 1457217762 : C H DENTAL PC : CHESTNUT HILL, MA

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General NPI Number Information
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    NPI Number           |    1457217762
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    Entity Type          |    Organization 
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    Legal Business Name  |    C H DENTAL PC 
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Dates
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    Enumeration Date     |    12/30/2025
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    631A VFW PKWY 
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    City                 |    CHESTNUT HILL
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    State                |    MA
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    Zip                  |    02467-3656
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    Country              |    US
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    Telephone            |    617-699-9107
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    631A VFW PKWY 
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    City                 |    CHESTNUT HILL
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    State                |    MA
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    Zip                  |    02467-3656
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    Country              |    US
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    Telephone            |    617-699-9107
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     HIND  BIDA 
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    Credential           |    
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    Telephone            |    617-738-0806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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